Doctor Name: | KELLY HUME |
NPI Number: | 1154458313 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 26604 |
Business Practice Address: | 27620 Landau Blvd Ste 3 Cathedral City, CA - 922345540 |
Business Phone Number: | 7603225090 |
Business Fax Number: | 7603229175 |
Mailing Address: | 644 N Paseo De Anza, PALM SPRINGS |
State: | CA |
Postal Code: | 922626162 |
Phone Number: | 7604161011 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 26604 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |